肾性骨病诊疗现状

Diagnosis and treatment status quo of renal osteodystrophy

慢性肾脏病患者由于钙、磷、维生素D代谢障碍、继发性甲状旁腺功能亢进等因素引发肾性骨病。临床上通过采用中西医结合治疗可以提高疗效，能提高患者实验室检查结果转阴率，有利于自身临床症状的改善。表明有效地控制饮食，个体化的药物治疗方案，动态的实验指标检测，适宜的针对性强的透析方法可以提高患者生存质量。本文笔者对2008-2011年国内外对慢性肾脏病-矿物质-骨代谢性疾病（chronickidneydisease-min．eralandbonedisorder，CKD-MBD）的实验室检查诊断、治疗方式，以及透析方法进行了相关综述。

Chronic kidney disease leads to renal osteodystrophy because of calcium, phosphorus, Vitamin D metabolism disorders, secondary hyperparathyroidism and other factors. Integrative Medicine can improve clinical effi- cacy, improve laboratory findings in patients with seroconversion rate, can be conducive to tile improvement of clinical symptoms. Effective control diet, individualized drug treatment programs, dynamic experimental index detection, appro- priate targeted dialysis method can improve the quality of life in the patients. This paper has a comprehensive analysis of 2008 to 2011 at home and abroad chronic kidney disease-mineral and bone disorder （CKD-MBD） laboratory diag- nosis, treatment, and dialysis method.